Preparing for Chemotherapy
A complete guide to help you prepare for chemotherapy - what to expect before, during, and after treatment.
Chemotherapy can feel overwhelming, but knowing what to expect can help you feel more prepared and in control. This guide covers everything you need to know - from your first appointment to managing side effects at home.
Before Chemotherapy Begins
Your medical team will prepare you with tests and consultations before your first session.
- Blood tests to check your blood count, kidney, and liver function
- A heart check (ECG or echocardiogram) may be needed for certain chemo drugs
- Dental checkup recommended - treat any infections before starting chemo
- Discuss fertility preservation if you plan to have children in the future
- Your oncologist will explain the chemo plan: which drugs, how many cycles, and the schedule
- A port or PICC line may be inserted for easier IV access during treatment
- Ask about anti-nausea medications you'll be prescribed
On Chemotherapy Day
Here's what a typical chemo session looks like and what to bring.
- •Eat a light meal 1-2 hours before your session
- •Wear comfortable, loose clothing with easy access to your arm or chest port
- •Sessions can last 30 minutes to several hours depending on your drugs
- •A nurse will monitor you throughout - let them know about any discomfort
- •You may feel fine during the session itself - side effects often start later
What to Bring - Chemo Day Bag
- Your medication list and medical folder
- Water bottle and light snacks (crackers, biscuits, fruit)
- A warm blanket or shawl (treatment rooms can be cold)
- Phone, charger, and headphones
- A book, magazine, or something to pass the time
- A companion - having someone with you helps enormously
- Lip balm and hand cream (chemo can cause dryness)
- A small pillow for comfort
Managing Side Effects
Side effects vary by drug and person. Most are temporary and manageable.
Nausea & Vomiting
- •Take anti-nausea medication as prescribed - don't wait until you feel sick
- •Eat small, frequent meals instead of large ones
- •Try ginger tea, king coconut water, or plain crackers
- •Avoid strong smells and greasy or spicy food
Hair Loss
- •Not all chemo drugs cause hair loss - ask your doctor
- •Hair usually starts falling out 2-3 weeks after first treatment
- •Consider cutting hair short before it falls out to feel more in control
- •Indira Cancer Trust offers free wigs: +94 112 363 211
- •Your hair WILL grow back after treatment ends
Fatigue & Weakness
- •Rest when your body tells you to - this is not laziness
- •Plan activities for when you have the most energy
- •Light walking can actually help reduce fatigue
- •Accept help from family and friends
Low Immunity (Neutropenia)
- •Avoid crowded places and people who are sick
- •Wash hands frequently with soap
- •Cook all foods thoroughly - avoid raw fish, meat, or eggs
- •If you get a fever above 38°C (100.4°F), go to the hospital IMMEDIATELY
Mouth Sores
- •Use a soft toothbrush and gentle toothpaste
- •Rinse mouth with warm salt water after meals
- •Avoid spicy, acidic, or very hot foods
- •Suck on ice chips during treatment to help prevent sores
Neuropathy (Tingling/Numbness)
- •Report any tingling in hands or feet to your doctor
- •Wear comfortable, supportive shoes
- •Be careful with hot water - you may not feel temperature well
- •This usually improves after treatment ends
Eating Well During Chemo
Good nutrition helps your body fight cancer and recover from treatment.
- Focus on protein: eggs, fish, chicken, dhal, tofu, milk, and yoghurt
- Eat small meals every 2-3 hours rather than 3 big meals
- Stay hydrated: water, king coconut water, clear soups, herbal teas
- Traditional Sri Lankan foods like kola kenda, gotukola, and moringa are excellent
- Avoid raw or undercooked food when your immunity is low
- Avoid betel chewing, tobacco, and alcohol completely
- If food tastes metallic, try using plastic utensils and adding lemon
- Ask your doctor before taking any supplements or herbal remedies
Emotional Preparation
It's completely normal to feel scared, anxious, or overwhelmed. Here's how to cope.
- It's OK to cry, feel angry, or be scared - these feelings are valid
- Bring a trusted family member or friend to your sessions
- Consider keeping a journal to track your feelings and symptoms
- Talk to your medical team about your fears - they've heard it all before
- Connect with other patients - you are not alone in this journey
- Seek professional counselling if anxiety or depression is affecting your daily life
When to Seek Emergency Help
Go to the hospital or call your doctor IMMEDIATELY if you experience:
- ●Fever above 38°C (100.4°F) - this can be life-threatening during chemo
- ●Severe or uncontrolled vomiting or diarrhea
- ●Unusual bleeding or bruising
- ●Sudden shortness of breath or chest pain
- ●Confusion or difficulty staying awake
- ●Signs of infection: redness, swelling, or pain at any wound site
Keep these numbers saved: NCCP +94 112 850 252 | Suwa Seriya Ambulance 1990